FORDYCE EDWARD STIVERS MD
NPI 1992771216
Otolaryngology in Canton, IL

Active since February 27, 2006
175 S MAIN ST, CANTON, IL 61520(309) 647-0201(309) 649-5302 Get Directions Write a Review

NPPES record last updated: March 27, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Fordyce Edward Stivers Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FORDYCE EDWARD STIVERS MD (NPI 1992771216) is an individual otolaryngology provider in Canton, Illinois, licensed in Missouri (2005013768) and active in the NPI registry since February 2006.

NPPES Registry Identity

NPI1992771216
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameFORDYCE EDWARD STIVERSCredential: MD
Location Address175 S MAIN STCanton, IL 61520-2670
Mailing Address175 S Main StCanton, IL 61520-2670 · (309) 647-0201 · Fax (309) 649-5302
Fax(309) 649-5302
Sole ProprietorNo
Enumeration DateFebruary 27, 2006
Last NPPES UpdateMarch 27, 2008
NPI 1992771216 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License Licensed in MO · 2005013768
Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

175 S MAIN ST, Canton, IL 61520

Other Names 1

Professional Name (2)F Edward Stivers

Other Identifiers 2

Other1780692087IL · Clinic Npi#
Medicare UPINB90745

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
175 S MAIN ST
CANTON, IL 61520
Physician Assistant
175 S MAIN ST
CANTON, IL 61520
Chiropractor
175 S MAIN ST
CANTON, IL 61520
Chiropractor
175 S MAIN ST
CANTON, IL 61520
Social Worker (Clinical)
175 S MAIN ST
CANTON, IL 61520
Audiologist
175 S MAIN ST
CANTON, IL 61520
Pharmacist
175 S MAIN ST, SUITE 1
CANTON, IL 61520

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1992771216, enumerated as an "individual" on February 27, 2006.

The provider is located at 175 S MAIN ST CANTON, IL 61520 and the phone number is (309) 647-0201.

Otolaryngology with taxonomy code 207Y00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.